| NPI | 1720079692 |
|---|---|
| Doing Business As | JACKSONVILLE DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM STANLEY CEO 501-663-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2008-06-11 |